Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $86.36 / $86.36	Facility		$86.36	$86.36	$86.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $86.36 / $112.13	Professional		$86.36	$86.36	$112.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $115.10	Professional		$115.10	$115.10	$115.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $130.91 / $132.24	Professional		$119.02	$130.91	$132.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $148.94 / $148.94	Facility		$106.22	$148.94	$148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $148.94 / $234.84	Professional		$106.22	$148.94	$234.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $148.52 / $729.99	Facility		$81.13	$148.52	$729.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $67.55 / $112.59	Professional		$51.00	$67.55	$112.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $148.94 / $201.56	Facility		$148.52	$148.94	$201.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $176.03 / $306.87	Professional		$123.85	$176.03	$306.87
United Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $65.59 / $102.00	Facility		$49.98	$65.59	$102.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.55 / $99.61	Professional		$48.98	$67.55	$99.61